Coding Guides

Medicare Coding & Documentations Guidelines Booklet

A great quick reference for your office. Keep one in every exam room and most diagnosis codes and procedure codes will be at your finger tips. It also defines most CPT procedure codes and explains how to determine which 99xxx code for office visits to use for each different patient scenario. Defines many of the commonly used modifiers and indicates which procedures Medicare will allow for each diagnosis code.

Answers to the following questions and more will be found in the Medicare Coding & Documentations Guidelines Booklet (1 is included in the Medicare Coding Kit):

• Are fundus photos allowed by Medicare for a glaucoma suspect(365.01)?
• What is the difference between the 3 levels of visual fields?
• When do I use a -25 modifier?
• Are you under coding your office visit?
• What is PQRS?
• What are the HCPCS codes for glasses?

• HCPCS codes for billing glasses to DMEPOS
• How to implement PQRS

Click on thumbnails below to view larger versions of sample pages from the Medicare Coding and Documentations Guidelines Booklet.

Medicare Coding Kit in CD Format

The Medicare Coding Kit allows you to start billing tomorrow! It includes all the forms needed to accurately submit claims. Each CD includes a print ready version of each form PLUS a version to be personalized using Adobe Acrobat Professional or your local printer.

• Medicare Coding & Documentations Guideline Booklet
  Most diagnosis codes used in optometry. Describes most procedure codes and explains when to use them. Explanation of medical modifiers. Also sold separately
• Examination Form
  Includes clear references to all 14 elements of an eye exam and provides thorough and compliant documentation. sample
• Medical History Questionnaire
  Complete health history questionnaire designed to elicit all of the data Medicare and other medical insurance plans demand. sample
• Billing Statement
  Superbill with many common diagnosis and procedure codes in an organized presentation for patient billing. sample
• Examination: Supplementary Test Form
  Quick and easy way to comply with documentation regulations when performing special tests. sample
• Signature on File Form
  Submit patient claims without patient signing each claim form. sample
• ABN (Advance Beneficiary Notice)
  Documents that certain services will not be covered by Medicare and will be patient's responsibility. sample
• Cataract Comanagement Agreement sample
• Glaucoma Flow Sheet sample